Partners in Pain and Spine PLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

PARTNERS IN PAIN AND SPINE PLC

Practice address

6896 S Greenville Rd
Greenville, MI 48838-1081

Phone

(616) 754-5036

Fax

(616) 619-6010

NPI assigned

Jun 19, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Pullum, D.O.NPI 1063476604

Title

Sole Member

Phone

(616) 225-0875

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Ann Pullum, DO

  • Interventional Pain Medicine Physician
  • Greenville, MI
  • NPI 1063476604
  Medicare reassignment Care Compare group NPD Authorized official
• Sara Lyn Koenes, PA-C

  • Physician Assistant
  • Greenville, MI
  • NPI 1508970468
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1780428318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6896 S GREENVILLE RD STE 100",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488381081",
            "telephone_number": "616-754-5036",
            "fax_number": "616-619-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6896 S GREENVILLE RD",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488381081",
            "telephone_number": "616-754-5036",
            "fax_number": "616-619-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN PAIN AND SPINE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "PULLUM",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "616-225-0875",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Pabst
• Sue Ellen Pabst, LMSW
• Gregory Raymond Page, MD
• Florence Amy Parker-Tunnell
• Jan Parmenter
• Calli Marie Peabody, LMSW
• Henry Navarre Peabody IV, DO
• Susan Clair Perdue, BS
• Jennifer L Peterman, RD
• Amanda Jo Peterson, LLPC

• Pain Medicine (Anesthesiology) Physician in Greenville, MI
• Providers in Greenville, MI by specialty
• Pain Medicine (Anesthesiology) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.